| NPI | 1609212174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO R. REDDICK Member 937-738-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2019-12-11 |